Individual provider Active NPI

Breahannah Hilaire, PHD, LMHC

  • Mental Health Counselor
  • Winter Springs, FL
National Provider Identifier
1003419706
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18317 Issued in FL
Practice address
1372 San Diego CT
Winter Springs, FL 32708-4823
Phone
(407) 984-6152
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18317 FL Primary

Addresses

Primary practice location

1372 San Diego CT
Winter Springs, FL 32708-4823

Mailing address

PO Box 533524
Orlando, FL 32853-3524

Other practice location 1

1601 49th St S
Gulfport, FL 33707-4340
Phone (727) 687-0997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH18317FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Behavioral Health Inc CurrentSince Sep 23, 2021 Accepting new patients

Locations

1601 49th St S
Gulfport, FL 33707
Phone (727) 687-0997

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1003419706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533524",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328533524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 SAN DIEGO CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084823",
            "telephone_number": "407-984-6152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 49th St S",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "FL",
            "postal_code": "337074340",
            "country_code": "US",
            "telephone_number": "727-687-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILAIRE",
        "first_name": "BREAHANNAH",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.